Abstract: An external wearable defibrillator for monitoring a patient for cardiac-related events is provided. The defibrillator includes ECG sensors configured to be disposed about a torso of the patient, therapy electrodes, and at least one motion sensor. The ECG sensors, therapy electrodes, and at least one motion sensor are configured to be worn continuously for an extended period of time. The defibrillator includes a wearable medical device controller including at least one processor configured to receive ECG data, receive motion data, identify at least one of ventricular tachycardia or ventricular fibrillation, initiate a treatment protocol including a defibrillation shock, and, using at least one of the ECG data or the motion data, identify a predetermined pattern for syncope. The predetermined pattern includes bradycardia. The at least one processor is further configured to record the predetermined pattern in a memory and perform an intervening action to address the predetermined pattern.

Abstract: A system for managing an individualized cardiac rehabilitation plan is provided. The system includes an externally worn device and a server. The server includes a processor configured to receive input regarding the rehabilitation plan; generate one or more plans specifying an individualized set of rehabilitative exercise sessions for a patient, receive electrocardiogram (ECG) and non-ECG physiological information acquired from the patient compare the ECG and/or non-ECG physiological information to predetermined criteria and dynamically adjust the cardiac rehabilitation plan based on the comparison to create an adjusted cardiac rehabilitation plan.

Abstract: A non-invasive bodily-attached ambulatory medical monitoring and treatment device with pacing is provided. The noninvasive ambulatory pacing device includes a battery, at least one therapy electrode coupled to the battery, a memory storing information indicative of a patient's cardiac activity, and at least one processor coupled to the memory and the at least one therapy electrode. The at least one processor is configured to identify a cardiac arrhythmia within the information and execute at least one pacing routine to treat the identified cardiac arrhythmia.

Abstract: An external medical device is provided which is configured to provide a user with access to one or more training modules. The external medical device includes one or more electrodes configured to detect a cardiac activity of a patient, an audio and/or visual output, and a controller coupled to the audio and/or visual output. The controller is configured to: detect at least one of a predetermined event and a device use pattern; and responsive to detecting the at least one of the predetermined event and the device use pattern, provide the patient access to one or more training modules relating to a use or a configuration of the external medical device via the audio and/or visual output. The device can also include a user interface configured to provide access to at least one training module according to a schedule of training modules for the patient.

Abstract: An external wearable defibrillator for monitoring a patient for cardiac-related events is provided. The defibrillator includes ECG sensors configured to be disposed about a torso of the patient, therapy electrodes, and at least one motion sensor. The ECG sensors, therapy electrodes, and at least one motion sensor are configured to be worn continuously for an extended period of time. The defibrillator includes a wearable medical device controller including at least one processor configured to receive ECG data, receive motion data, identify at least one of ventricular tachycardia or ventricular fibrillation, initiate a treatment protocol including a defibrillation shock, and, using at least one of the ECG data or the motion data, identify a predetermined pattern for syncope. The predetermined pattern includes bradycardia. The at least one processor is further configured to record the predetermined pattern in a memory and perform an intervening action to address the predetermined pattern.

Abstract: An external medical device is provided which is configured to provide a user with access to one or more training modules. The external medical device includes one or more electrodes configured to detect a cardiac activity of a patient, an audio and/or visual output, and a controller coupled to the audio and/or visual output. The controller is configured to: detect at least one of a predetermined event and a device use pattern; and responsive to detecting the at least one of the predetermined event and the device use pattern, provide the patient access to one or more training modules relating to a use or a configuration of the external medical device via the audio and/or visual output. The device can also include a user interface configured to provide access to at least one training module according to a schedule of training modules for the patient.

Abstract: An external wearable medical device includes a plurality of electrocardiogram (ECG) sensors, at least one accelerometer configured to be disposed on a patient, and at least one processor operatively coupled plurality of ECG sensors and the at least one accelerometer. The at least one processor is configured to receive an ECG signal from the plurality of ECG sensors, receive patient activity data from the at least one accelerometer, and detect, based on the patient activity data from the at least one accelerometer, data indicative of an impending syncope event. The at least one processor is configured to issue a notification of the impending syncope event, and store in a memory during a first time period data comprising the ECG signal in association with information descriptive of impending syncope event, and transmit to a remote server during a second time period the stored data for analysis at the remote server.

Abstract: A method of controlling discomfort of a patient during external pacing by an external medical device includes detecting a cardiac condition of the patient; receiving, via a user interface, discomfort information descriptive of the discomfort experienced by the patient; determining from the discomfort information whether the patient is conscious or unconscious; responsive to determining from the discomfort information that the patient is unconscious, executing, via at least one therapy electrode disposed on the patient, at least one pacing routine, the at least one pacing routine being associated with the cardiac condition; and responsive to determining from the discomfort information that the patient is conscious, adjusting at least one characteristic of the at least one pacing routine.

Abstract: A wearable medical device comprises a garment configured to be worn about a torso of a patient. The wearable medical device further comprises a CPR sensor for detecting a characteristic of a CPR therapy provided to the patient. The CPR sensor is coupled to the garment to provide movement between a stowed position and a deployed position. The CPR sensor is positioned at a center of a chest of the patient when the CPR sensor is in the deployed position. The wearable medical device further comprises an output device. The wearable medical device further comprises a processor configured for processing information from the CPR sensor and providing, to the output device, information about the CPR therapy provided to the patient.

Abstract: An external medical device includes a user interface; at least one therapy electrode configured to be disposed on a patient; and a processor operatively coupled to the at least one therapy electrode, the processor configured to cause a treatment manager to detect a cardiac condition of the patient; receive, via the user interface, discomfort information descriptive of the discomfort experienced by the patient; responsive to determining from the discomfort information that the patient is unconscious, execute at least one pacing routine, the at least one pacing routine being associated with the cardiac condition; and responsive to determining from the discomfort information that the patient is conscious, adjust at least one characteristic of the at least one pacing routine.

Abstract: A non-invasive bodily-attached ambulatory medical monitoring and treatment device with pacing is provided. The noninvasive ambulatory pacing device includes a battery, at least one therapy electrode coupled to the battery, a memory storing information indicative of a patient's cardiac activity, and at least one processor coupled to the memory and the at least one therapy electrode. The at least one processor is configured to identify a cardiac arrhythmia within the information and execute at least one pacing routine to treat the identified cardiac arrhythmia.

Abstract: A system for managing an individualized cardiac rehabilitation plan is provided. The system includes an externally worn device and a server. The server includes a processor configured to receive input regarding the rehabilitation plan; generate one or more plans specifying an individualized set of rehabilitative exercise sessions for a patient, receive electrocardiogram (ECG) and non-ECG physiological information acquired from the patient compare the ECG and/or non-ECG physiological information to predetermined criteria and dynamically adjust the cardiac rehabilitation plan based on the comparison to create an adjusted cardiac rehabilitation plan.

Abstract: A non-invasive medical device includes a garment; at least one therapy electrode and a plurality of ECG sensing electrodes disposed in the garment; a memory storing ECG information of the patient; a therapy delivery interface; and at least one processor configured to identify, within the ECG information, at least one cardiac arrhythmia condition; determine at least one pacing routine corresponding to the detected cardiac arrhythmia condition; cause the therapy delivery interface to execute the at least one pacing routine by delivering a first pacing pulse; determine, subsequent to the first pacing pulse, that a first interval has passed without detection of an intrinsic heartbeat, and in response, cause the therapy delivery interface to continue executing the at least one pacing routine by delivering a second pacing pulse; and responsive to determining that the intrinsic heartbeat is detected within the first interval, suspend execution of the at least one pacing routine.

Abstract: A wearable medical device includes a garment configured to be worn about a torso of a patient, at least two sensors for detecting a characteristic of a CPR therapy, an output device, and a processor. The at least two sensors are positioned at locations at the anterior surface of the patient's chest chosen to identify a characteristic of a center of the patient's chest. The processor is configured for processing information from the at least two sensors and providing, to the output device, information about the CPR therapy. The processing includes determining information about a geometry defined by the at least two sensors.

Abstract: A wearable medical device, comprising: a garment configured to be worn about a torso of a patient; one or more sensors for detecting a characteristic of a cardiopulmonary resuscitation (CPR) therapy; an output device; and a processor configured for processing information from the one or more sensors and providing, to the output device, information about the CPR therapy, wherein at least one of the one or more sensors is movably attached to the garment, the at least one sensor configured to be positioned to the center of the patient's chest prior to initiation of the CPR therapy.

Abstract: An external wearable medical device includes a plurality of electrocardiogram (ECG) sensors, at least one accelerometer configured to be disposed on a patient, and at least one processor operatively coupled plurality of ECG sensors and the at least one accelerometer. The at least one processor is configured to receive an ECG signal from the plurality of ECG sensors, receive patient activity data from the at least one accelerometer, and detect, based on the patient activity data from the at least one accelerometer, data indicative of an impending syncope event. The at least one processor is configured to issue a notification of the impending syncope event, and store in a memory during a first time period data comprising the ECG signal in association with information descriptive of impending syncope event, and transmit to a remote server during a second time period the stored data for analysis at the remote server.

Abstract: A non-invasive medical device includes a garment; at least one therapy electrode and a plurality of ECG sensing electrodes disposed in the garment; a memory storing ECG information of the patient; a therapy delivery interface; and at least one processor configured to identify, within the ECG information, at least one cardiac arrhythmia condition; determine at least one pacing routine corresponding to the detected cardiac arrhythmia condition; cause the therapy delivery interface to execute the at least one pacing routine by delivering a first pacing pulse; determine, subsequent to the first pacing pulse, that a first interval has passed without detection of an intrinsic heartbeat, and in response, cause the therapy delivery interface to continue executing the at least one pacing routine by delivering a second pacing pulse; and responsive to determining that the intrinsic heartbeat is detected within the first interval, suspend execution of the at least one pacing routine.

Abstract: According to some embodiments, a wearable medical device capable of treating a patient presenting with syncope is provided. The wearable medical device includes a memory storing event profile information, a battery, at least one treatment electrode coupled to the battery, at least one processor coupled to the memory and the at least one treatment electrode, and an event manager executed by the at least one processor. The event manager is configured to detect an event associated with syncope; store, in the memory, data descriptive of the event in association with an indication that the data includes data descriptive of a syncopal event; and address the event.

Abstract: An external medical device includes a user interface; at least one therapy electrode configured to be disposed on a patient; and a processor operatively coupled to the at least one therapy electrode, the processor configured to cause a treatment manager to detect a cardiac condition of the patient; receive, via the user interface, discomfort information descriptive of the discomfort experienced by the patient; responsive to determining from the discomfort information that the patient is unconscious, execute at least one pacing routine, the at least one pacing routine being associated with the cardiac condition; and responsive to determining from the discomfort information that the patient is conscious, adjust at least one characteristic of the at least one pacing routine.

Abstract: A non-invasive bodily-attached ambulatory medical monitoring and treatment device with pacing is provided. The device includes at least one therapy electrode; a memory storing information indicative of a patient's cardiac activity; circuitry for implementing a plurality of pacing routines, each pacing routine of the plurality of pacing routines corresponding to at least one cardiac condition of a plurality of cardiac conditions; and at least one processor coupled to the circuitry and configured to identify, within the information, at least one cardiac condition of the plurality of cardiac conditions; and respond to the identified cardiac condition in part by causing execution of at least one pacing routine corresponding to the identified cardiac condition.